FormsOnce per job:Risk Assessment ToolSWMS Inspection ToolSite First Aid InformationOngoing:Weekly Toolbox Talk RecordJSA Pre-Start RecordPer Incident:Hazard Report Job Safety Analysis Pre-Start Meeting Name of person completing this Pre Start meeting record: * Zac Ozolins Sean Millar other Name if listed as other above: * Site Location: Address 1 Address 2 City State/Province Zip/Postal Code Country SWMS Number: Are any permits to work required? E.g. hot works, confined space, isolation or man box. Detail which staff/role needs which permit. Permit check * I will check these staff/roles have the required permit immediately post submitting this form. Listed below are a set of questions to use to assess the place of work. These questions are designed to target identified key risk areas. POTENTIAL HAZARDS: Design changes - Barricading - Falls from Height - Public Protection - Certified operators - Haul Roads - Relevant PPE - Correct Lifting for task - Heat Exhaustion - Sun / Skin Protection - Cranes and Lifting Equipment - Traffic Controllers (needed?) - Electrical Machinery Working in Area - Trenches - Environmental Protection - Overhead Powerlines - Underground Services 1. Is there any part of this task which requires excessive or awkward lifting, pushing or pulling? * Yes No 2. Is their anywhere where you could strike your head while working or walking? * Yes No 3. Is their anywhere you can lose your footing? Particularly at the heel? Slip on the same level? * Yes No 4. Can you potentially fall from any height? * Yes No 5. Is their anywhere you can slip or lose grip on fixed or mobile access equipment? * Yes No 6. Has anything got the potential to fall onto a person? * Yes No 7. Is their anywhere that you could be struck by a moving vehicle or plant? * Yes No 8. Whilst operating plant or driving a vehicle is their potential for severe jolting or jarring? * Yes No 9. Can you be struck by a flying, swinging, propelled or flailing object? * Yes No 10. Any additional PPE required? E.g. gloves, goggles, dust mask, face shield, hearing or fall arrest? * Yes No 11. Are their any significant risks or work changes that require the SWMS to be amended? * Yes No If you answered yes to any of the above, describe the control measures that will be implemented to manage the hazard: Put the question number, then the control measure. Any MSDS required for chemicals? If yes attach to SWMS/JSA Thank you!
